Paul Saladino· MD
when we talk about not wanting to do prolonged keep premises actually for somebody that has a BMI of 40 or 50 and and more than anything else before they worry about one thing or another they really need to get their BMI down like 20s and low twenties if possible and of course the lower you know up to about 18 the better this is going to make a world of difference in their morbidity and mortality rates as they age